The Day of Your Visit
Your day-long visit will be tailored to meet your individual health needs, based on personal preferences and your Health History questionnaire.
The Standard Executive & Preventive Health Visit
Medical History Review and a Physical ExaminationA thorough medical history is the cornerstone for an effective assessment of your health. We will discuss any health concerns you may have along with your past medical issues, identify susceptibilities based on your personal and family background, as well as your current lifestyle and habits.
Comprehensive Laboratory Screenings and UrinalysisThese detect indicators of anemia, diabetes, thyroid disease, liver and kidney disease, and include a lipid panel to assess cardiac and stroke risk factors. A Prostate Specific Antigen (PSA) screening is included for men beginning at age 40; HIV test, with your consent, is performed for those under age 65.
Resting Electrocardiogram (EKG)Detects changes in the heart’s electrical activity. Patterns seen in the tracing indicate where tissue may have been damaged, if coronary arteries may be blocked, or if irregular beats occur frequently.
AudiogramA hearing test performed by an audiologist who makes recommendations to help preserve hearing or may suggest sound amplification. This should be obtained during your initial visit and subsequent studies will be determined based your needs.
Eye ExaminationPerformed at the Wilmer Eye Institute by an optometrist and includes the external eye structures, pupils, eye muscle function, internal pressure, visual fields, and visual acuity. Contact lens fitting is not included during this exam.
Skin Cancer ScreeningThis screening includes a head-to-toe assessment by a dermatologist to detect skin cancer through visual inspection. The dermatologist will inspect the skin for concerning lesions and will ask that you point out any spots that have been changing, growing, bleeding or are of concern. This evaluation does not include a diagnostic evaluation and management of any new or chronic conditions (ie. rashes, acne, rosacea or cosmetic issues).
Wellness CoachingA nationally board certified health and wellness coach will work with you to help identify values and desires and develop a plan in regards to your current physical and emotional state. The developed plan will aid in transforming these set goals into action and maintaining a self-directed lasting change over time. This is recommended for anyone who may need guidance with stress management, sleep deprivation, life direction or would like to improve their overall wellness.
Immunization Review and AdministrationYour immunizations will be reviewed with the physician, and if any need to be updated, they will be administered during your visit.
At the end of your visit you will meet with your Executive Health physician to review all test results, determine if additional testing or follow-up care is needed, and determine what lifestyle changes are ideal in order to improve your overall health. A written summary of your results will be available to you following your visit. At your request, we will provide a copy of your results to your primary care physician.
One or the other may be performed, but not both.
Exercise Stress Test – This treadmill test evaluates how your heart responds to physical activity. The test consists of walking and/or running on a treadmill while the speed and incline are gradually increased. Your electrocardiogram and blood pressure are monitored for any indications of cardiovascular disease. A baseline test is recommended beginning at age 45 (men)/ 50 (women) for patients with risk factors for premature arteriosclerosis - diabetes, cigarette smoking, significant hypercholesterolemia and family history of heart attacks at a young age. This test is also useful if you are beginning a fitness program. Others begin at age 50. Whether it should be repeated requires individualized review with your physician.
Metabolic Fitness Assessment* – This treadmill test is used to measure the performance of your heart and lungs, particularly while they are under greater physical demand. This test is the gold standard for functional/aerobic capacity testing. These tests consists of walking and/or running on a treadmill while you are breathing into a mouthpiece. The speed and incline of the treadmill are gradually increased throughout the test. All of the air you breathe in and out during the test is analyzed. Your electrocardiogram and blood pressure are monitored to ensure safety throughout the test.
Exercise CounselingAn Exercise Physiologist will work with you to create an individualized exercise program and provide guidance on incorporating exercise and fitness into your daily life. Exercise guidelines, program progression, and proper technique are reinforced during this session. This is recommended for patients who plan to start a regular exercise regimen or significantly change their existing fitness routine. Counseling is done in conjunction with the exercise stress test.
Fitness AssessmentYou will work with an Exercise Physiologist to assess your level of overall fitness. This hands-on assessment includes testing of muscular strength/endurance, flexibility and body composition. This is recommended if you plan to start a regular exercise regimen to identify baseline strengths and weaknesses. The assessment can be performed annually to determine the efficacy of an exercise program or to monitor your progress.
Body Fat AnalysisMeasurements are taken to estimate your overall body fat and determine if your body mass index (BMI) presents risks for medical conditions such as diabetes, heart disease, sleep apnea and certain cancers.
Pulmonary Function Test (PFT)This test detects emphysema, bronchitis, asthma and other pulmonary health issues. We recommend that this test be conducted on your initial visit if you have a history of respiratory illness, known lung disease or a history of smoking.
Carotid Duplex Scan
A noninvasive procedure that measures blood flow through the carotid arteries that run from the heart through the neck and to the brain. This scan does not result in radiation exposure.
Calcium scoreA CT scan of your heart to assess the severity of coronary artery disease. Specifically it looks for calcium deposits in the coronary arteries that can narrow and increase the risk of a heart attack; this one-time test is recommended if you have a family history of heart disease or are at significant risk for heart disease. This scan does result in radiation exposure
Abdominal Aortic Duplex Scan (AAA)A noninvasive procedure that looks at images of the aorta, the main blood vessel leading away from the heart. This scan can diagnose aneurysms that develop in the abdominal aorta; recommended if you are over age 65 and have ever smoked. This scan does not result in radiation exposure.
Low Dose CT
A specialized x-ray that will take multiple pictures of your lungs as you lie on a table that slides through the CT machine. A computer then combines the images in to a detailed picture of your lungs for the radiologist to review. This is recommended annually if you are a current or former smoker over the age of 55. This scan does result in radiation exposure.
A colonoscopy is conducted to search for polyps and detect signs of colorectal cancer. The American Cancer Society recommends that individuals
age 50 and over have this screening every 8 to 10 years or more frequently if you have a personal or family history of colorectal polyps or cancer.
NOTE: The procedure, performed with intravenous sedation, is conducted on a separate day from your standard screenings and tests. It also requires a day-before preparation process to cleanse the bowel prior to your screening.
The most modern screening and diagnostic tool available for early detection of breast cancer. It is used to detect changes in breast tissue in women who have no signs or symptoms of breast cancer. Annual screening mammograms are recommended by The American College of Radiology for women age 40 and over. This scan does result in radiation exposure.
PAP SmearA screening procedure for cervical cancer that tests for the presence
of precancerous or cancerous cells on the cervix; this procedure is performed by the internist.
DEXA Bone Density Scan*Used to measure bone mineral content and mass and can detect the depletion of bone calcium and protein, which increases your fracture risk. The scan typically measures the density of the spine, pelvis, lower arm and thigh; recommended if you are a female over age 65 or if you have risk factors for bone loss. This scan does result in radiation exposure.
In between examinations, you will have access to additional amenities, including:
- continental breakfast and lunch
- executive lounge with telephone and internet access
- interpreter services (if required)
- lockers for your personal items*
- business services
At the end of the day, you will meet again with your personal physician to go over your test results, discuss any questions, and receive your individualized recommendations for future health and wellness.
If our doctors recommend an additional examination or there is a specific consult with one of our other specialists that you are interested in receiving, we’ll work with you to try to schedule it on the same day, schedule a follow-up appointment or provide a referral to make an appointment with a local care provider.
After Your Visit
After returning home, you will receive a summary of your examinations in about 10 business days, or sooner if you use MyChart. These summaries will include your existing health status and recommendations for how to maintain or improve your health.
Your medical information is confidential and we are happy to send copies of your reports to your primary care physician.